JENNIFER SUTTON BOUSTEAD OTR - NPI 1689977498 - Specialist in Gainesville, TX

Q: What is Jennifer Boustead's NPI number?

The NPI number for Jennifer Boustead is 1689977498. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Q: What is Jennifer Boustead's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Boustead was last updated on December 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Sutton Boustead Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SUTTON BOUSTEAD OTR (NPI 1689977498) is an individual specialist in Gainesville, Texas, licensed in Texas (110293) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1689977498

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameJENNIFER SUTTON BOUSTEADCredential: OTR

Location Address1907 REFINERY RDGainesville, TX 76240-2111

Mailing Address1907 Refinery RdGainesville, TX 76240-2111 · (940) 665-0386

Phone(940) 665-0386

Sole ProprietorNo

Enumeration DateDecember 16, 2010

✔ NPI 1689977498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · 110293

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1907 REFINERY RD, Gainesville, TX 76240

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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